Individual
DR. THOMAS G KINCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604-6527
(423) 439-6464
(423) 439-7118
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27201
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000038547
COMMERCIAL PRV
AL
05
—
000038547
—
AL
01
—
0110177
UNITED HEALTHCARE
AL
01
—
051038547
BLUE CROSS BLUE SHIELD
—
01
—
630813275
CHAMPUS
AL
01
—
P00196930
RAILROAD MEDICARE
AL
05
—
Q063793
—
TN
Enumeration date
03/07/2006
Last updated
02/01/2024
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